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NPI Code Detail

MEDICARE: ABDEL KHALEK, MD,LTD

MEDICARE: ABDEL KHALEK, MD,LTD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician6899NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1124294103
Entity Type Code : Organization
Provider Name (Legal Business Name) : ABDEL KHALEK, MD,LTD
Provider Business Mailing Address
First Line : 4500 MEADOWS LN
Second Line :
City : LAS VEGAS
State : NV
Zip : 89107-2916
Country : US
Telephone Number : 702-258-8100
Fax Number :
Provider Business Practice Location Address
First Line : 4500 MEADOWS LN
Second Line :
City : LAS VEGAS
State : NV
Zip : 89107-2916
Country : US
Telephone Number : 702-258-8100
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. ABDEL M KHALEK
Credential : M.D.
Telephone Number : 702-258-8100
Provider Enumeration Date : 04/30/2008
Last Update Date : 04/30/2008

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Directions to “ABDEL KHALEK, MD,LTD ” Practice Location

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